May, 2008 D. Ciliska, RN, PhD & Helen Thomas, RN, MSc Scientific Co-Directors C. Buffett Funded by the Public Health Agency of Canada Affiliated with McMaster University Can I Use This Evidence in my Program Decision? Assessment of Applicability and Transferability
May, 2008. Can I Use This Evidence in my Program Decision? Assessment of Applicability and Transferability. D. Ciliska, RN, PhD & Helen Thomas, RN, MSc Scientific Co-Directors C. Buffett. Funded by the Public Health Agency of Canada Affiliated with McMaster University. May, 2008. - PowerPoint PPT Presentation
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May, 2008
D. Ciliska, RN, PhD&
Helen Thomas, RN, MScScientific Co-Directors
C. BuffettFunded by the Public Health Agency of Canada
Affiliated with McMaster University
Can I Use This Evidence in my Program Decision?
Assessment of Applicability and Transferability
May, 2008
Funded by the Public Health Agency of Canada
Affiliated with McMaster University
One of six centres funded by the Public Health Agency of Canada
3
Different topics
Different institutions
Collective
projects
National Collaborating Centres for Public Health
Mission: to translate existing and new evidence produced by academics and researchers in public health.
Build on existing strengths, foster linkages across various sectors of public health community to enhance efficiency and effectiveness of public health system.
Work as a network which supports knowledge demands around public health goals and priorities
Methods and tools for
what?
Methods and Tools for what?
K nowledge S ynthesis T ranslation and E xchange(KSTE)
Health-care
decisions
Evidence from
research
Evidence Transfer Gap
Evidence of Gap in Acute and Primary
Care Consistent evidence of failure to translate
research findings into clinical practice
30-40% patients do not get treatments of proven effectiveness
20-25% patients get care that is not needed or potentially harmful
Schuster, McGlynn, Brook (1998). Milbank Memorial Quarterly
Grol R (2001). Med Care
Is it any different in public health?
Steps of Evidence-Informed Decision-Making
1. Formulate an answerable question
2. Conduct an efficient literature search
3. Critically appraise the evidence
4. Apply the results in health care decisions
5. Evaluate the outcome
Applicability and Transferability Tool
-to assist managers and planners in decision-making about program priorities for your community
4. Apply Decision to Health-Care
Issue
Method
Extensive literature search Pilot tested with relevant group Sent out for review by managers
Criteria
Applicabilityis it feasible in the local setting?
Political acceptability, barriers or leverage
Social acceptability Available resources Organizational expertise and capacity
Transferability
can the intervention achieve the same outcomes in the local setting?
Magnitude of the health issue locally Magnitude of potential reach Potential cost-effectiveness Target population characteristics Overall community capacity to accept and
implement
Criteria
Involve relevant stakeholders
2. Give orientation to the process; establish time lines.
3. Choose which of the applicability and transferability criteria are most important for the particular intervention of interest and the local context, if these should be weighted, and what weights to assign.
Process
4. Determine if/how final scoring will be done: addition of individual ratings; or discussion and consensus on each criteria.
eg: individually rate each criterion on a 1-5 point scale (1 is low impact/relevance or match and 5 indicates high level impact/relevance or match). Priority then goes to the highest scoring program.
5. Document whatever process was used in d).
Process
Evaluation
In process Interviews with users Will also include unsolicited feedback
Questions?
National Collaborating Centre for Methods and Tools1685 Main Street West, Suite 302Hamilton ON L8S 1G5Phone: 905-525-9140, ext. 20455Fax: 905-529-4184